Individual provider · NPI-1
Abigail Beasley
Technician, Other · Peoria, AZ
NPI number1992251276
StatusActive
Last updated in NPPESAug 28, 2016
Details
- NPI
- 1992251276
- Entity type
- Individual (NPI-1)
- Name
- Abigail Beasley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2016
- Last updated
- Aug 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
12612 N 78th DrPeoria, AZ 85381-5279
Phone 602-301-4346
Mailing address
12612 N. 78th Dr.Peoria, AZ 85381
Phone 602-301-4346
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